Grays Harbor Community Hospital
AberdeenGrays Harbor CountyAcute Care Hospitals
Pregnancy ultrasound (limited)
Quality: 3 of 5 (CMS overall rating)Earliest available date: call (360) 532-8330
What you may pay
- With insurance from an employer or private plan
- $188 to $678
- REGENCE BLUESHIELD - Commercial-PPO: Regence Blue Shield $188 Lower than typical
- MOLINA HEALTHCARE OF WASHINGTON - Commercial-Indemnity: Molina Healthcare of Washington $230 Lower than typical
- PREMERA BLUE CROSS - Commercial-PPO: Premera Blue Cross $249 Lower than typical
- KFHP OF WA - Commercial-HMO: Other Commercial $592 Higher than typical
- KFHP OF WA OPTIONS, INC - Commercial-HMO: Other Commercial $592 Higher than typical
- AETNA - Commercial-POS: Aetna $678 Higher than typical
- Paying yourself (cash price)
- $400 – $416
Next step: ask the hospital for a Good Faith Estimate for this procedure (phone number above).
Bills to expect
A procedure usually brings several bills, each from whoever did that part of your care. Here is what to expect, with what Traditional Medicare allows for each doctor’s part in this area (Washington outside King County) and an estimate for private plans.
| Bill | Who sends it | How likely | Status | Traditional Medicare allows | Private plans (estimate) |
|---|---|---|---|---|---|
| Hospital's fee | The hospital | Expected | Published by the hospital: the prices above | — | — |
| Reading doctor | The radiology group or specialist practice that reads it | Expected | Billed separately; amount estimated | $31 | $37 to $56 |
| Ordering doctor's visit | Your doctor | Possible | Billed separately; not priced | — | — |
What you’d pay for these bills
You pay about $45 to $49 of about $225 to $244 billed to your plan.
How each bill comes to you
Hospital's fee
- The provider's charge
- Not published
- Allowed amount
- $188
- Your plan pays
- $150
- Your coinsurance
- $37.59
- You owe
- $37.59
Reading doctor
- The provider's charge
- Not published
- Allowed amount
- $36.73
- Your plan pays
- $29.39
- Your coinsurance
- $7.35
- You owe
- $7.35
- All bills: allowed amounts
- $225
- Your plan pays
- $180
- You owe in all
- $44.94
Who owes what, and when you might owe more
- The insurance adjustment Written off
An in-network provider agrees to accept your plan's allowed amount. The difference between its charge and that amount is written off: you don't owe it, and it shouldn't appear on your bill.
- Deductible You pay
What you pay each year before your plan starts sharing costs. It is applied to bills in the order your plan processes them, so the first bill can take all of it.
- Copay You pay
A fixed amount for a kind of care, such as a hospital stay or a surgeon's visit. Your plan's summary of benefits says whether it applies before or after the deductible, and whether a stay's copay is per day.
- Coinsurance You pay
Your percentage of the allowed amount after the deductible, such as 20%.
- Out-of-pocket maximum Your plan pays
Once your deductible, copays and coinsurance for the year reach it, your plan pays 100% of covered in-network care for the rest of the plan year.
- Each provider bills separately You pay
The hospital, surgeon, anesthesia group, radiologist and pathologist each send their own claim and their own bill. All of them count toward the same deductible and yearly maximum.
- Out of network and surprise bills It depends
A provider outside your plan's network can bill you the difference between its charge and what your plan pays (a balance bill). It can't for emergency care, or when anesthesia, radiology, pathology, an assistant surgeon or a hospital doctor treats you at an in-network hospital: under federal law (the No Surprises Act) and, for Washington-regulated plans and self-funded plans that opt in, RCW 48.49, those groups cannot balance bill you. Your deductible and coinsurance still apply, at in-network amounts.
- Not covered, or no prior authorization It depends
If your plan decides a service isn't covered, or it needed prior authorization that wasn't approved, the plan pays nothing for it and the provider may bill you. Ask the provider to get prior authorization before your care. If an in-network provider didn't get it, the provider's contract may stop it billing you: ask your plan before you pay.
- A second insurance It depends
If you have a second plan, the first plan pays first and the second may then pay some or all of your share. These estimates use one plan only.
- Wait for the Explanation of Benefits You pay
After each claim your insurer sends an Explanation of Benefits (EOB) with the allowed amount, what it paid and what you may owe. It is not a bill. Pay a provider's bill only when it matches the EOB's “you may owe” amount, and ask the provider or insurer about any difference.
- Help from the hospital It depends
Washington hospitals must give free or discounted care based on income, including deductibles and coinsurance for insured patients: free up to 200% or 300% of the federal poverty level depending on the hospital, with discounts above that (RCW 70.170). You can apply after you get a bill. It covers the hospital's bill; doctor groups that bill separately have their own policies.
- If you pay yourself instead You pay
You can choose not to use your insurance and pay the cash price; then nothing counts toward your deductible. Ask each provider for a Good Faith Estimate. If a bill is $400 or more above it, you can dispute it within 120 days.
Get it confirmed before your care
The hospital, each doctor’s group and your insurer can each confirm their part in writing. Here is a request for each one, ready to send from your own email, and what to say if you’d rather call. Nothing you do here is saved.
Coming: CareNavIQ will be able to send these for you, follow up, and tell you when everything is confirmed, with your permission.
Grays Harbor Community Hospital
Request to send
Subject: Estimate request: pregnancy ultrasound (limited) at Grays Harbor Community Hospital Hello, I am planning a pregnancy ultrasound (limited) (billing code CPT 76815) at Grays Harbor Community Hospital. Under Washington law (RCW 70.01.030), I am asking for a written estimate of the hospital's charges, with the billing codes you plan to use. Name: [YOUR NAME] Date of birth: [DATE OF BIRTH] Insurance: [PLAN NAME], member ID [MEMBER ID] Planned date: [DATE, IF KNOWN] Thank you.
If you call. Call (360) 532-8330 and ask for the price estimate or patient financial services line. Say: "I'd like a written estimate for my pregnancy ultrasound (limited)."
35 published prices, grouped by who each price applies to.
Cash price 4 prices
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $400 | Hospital’s fee | OB US LIMITED FETUS(S) | — | Inpatient or outpatient | — |
| $416 | Hospital’s fee | OB US LIMITED FETUS(S) | — | Inpatient or outpatient | — |
| $416 | Hospital’s fee | BEDSIDE ULTRA SOUND | — | Inpatient or outpatient | — |
| $416 | Hospital’s fee | OB SONOGRAM, LMT | — | Inpatient or outpatient | — |
List price (before discounts) 4 prices
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $615 | Hospital’s fee | OB US LIMITED FETUS(S) | — | Inpatient or outpatient | — |
| $640 | Hospital’s fee | BEDSIDE ULTRA SOUND | — | Inpatient or outpatient | — |
| $640 | Hospital’s fee | OB SONOGRAM, LMT | — | Inpatient or outpatient | — |
| $640 | Hospital’s fee | OB US LIMITED FETUS(S) | — | Inpatient or outpatient | — |
Commercial insurance 18 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| AETNA - Commercial-POS | Aetna | $678 | Hospital’s fee | OB US LIMITED FETUS(S) | percent of total billed charges | Inpatient or outpatient | — |
| AETNA - Commercial-POS | Aetna | $678 | Hospital’s fee | BEDSIDE ULTRA SOUND | percent of total billed charges | Inpatient or outpatient | — |
| AETNA - Commercial-POS | Aetna | $678 | Hospital’s fee | OB SONOGRAM, LMT | percent of total billed charges | Inpatient or outpatient | — |
| KFHP OF WA - Commercial-HMO | Other Commercial | $592 | Hospital’s fee | OB US LIMITED FETUS(S) | fee schedule | Inpatient or outpatient | — |
| KFHP OF WA - Commercial-HMO | Other Commercial | $592 | Hospital’s fee | BEDSIDE ULTRA SOUND | fee schedule | Inpatient or outpatient | — |
| KFHP OF WA - Commercial-HMO | Other Commercial | $592 | Hospital’s fee | OB SONOGRAM, LMT | fee schedule | Inpatient or outpatient | — |
| KFHP OF WA OPTIONS, INC - Commercial-HMO | Other Commercial | $592 | Hospital’s fee | BEDSIDE ULTRA SOUND | fee schedule | Inpatient or outpatient | — |
| KFHP OF WA OPTIONS, INC - Commercial-HMO | Other Commercial | $592 | Hospital’s fee | OB SONOGRAM, LMT | fee schedule | Inpatient or outpatient | — |
| KFHP OF WA OPTIONS, INC - Commercial-HMO | Other Commercial | $592 | Hospital’s fee | OB US LIMITED FETUS(S) | fee schedule | Inpatient or outpatient | — |
| MOLINA HEALTHCARE OF WASHINGTON - Commercial-Indemnity | Molina Healthcare of Washington | $230 | Hospital’s fee | OB US LIMITED FETUS(S) | fee schedule | Inpatient or outpatient | — |
| MOLINA HEALTHCARE OF WASHINGTON - Commercial-Indemnity | Molina Healthcare of Washington | $230 | Hospital’s fee | BEDSIDE ULTRA SOUND | fee schedule | Inpatient or outpatient | — |
| MOLINA HEALTHCARE OF WASHINGTON - Commercial-Indemnity | Molina Healthcare of Washington | $230 | Hospital’s fee | OB SONOGRAM, LMT | fee schedule | Inpatient or outpatient | — |
| PREMERA BLUE CROSS - Commercial-PPO | Premera Blue Cross | $249 | Hospital’s fee | OB SONOGRAM, LMT | fee schedule | Inpatient or outpatient | — |
| PREMERA BLUE CROSS - Commercial-PPO | Premera Blue Cross | $249 | Hospital’s fee | OB US LIMITED FETUS(S) | fee schedule | Inpatient or outpatient | — |
| PREMERA BLUE CROSS - Commercial-PPO | Premera Blue Cross | $249 | Hospital’s fee | BEDSIDE ULTRA SOUND | fee schedule | Inpatient or outpatient | — |
| REGENCE BLUESHIELD - Commercial-PPO | Regence Blue Shield | $188 | Hospital’s fee | OB SONOGRAM, LMT | fee schedule | Inpatient or outpatient | — |
| REGENCE BLUESHIELD - Commercial-PPO | Regence Blue Shield | $188 | Hospital’s fee | OB US LIMITED FETUS(S) | fee schedule | Inpatient or outpatient | — |
| REGENCE BLUESHIELD - Commercial-PPO | Regence Blue Shield | $188 | Hospital’s fee | BEDSIDE ULTRA SOUND | fee schedule | Inpatient or outpatient | — |
Medicare Advantage 3 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| WELLPOINT WASHINGTON, INC. - Medicare-HMO | Medicare Advantage | $128 | Hospital’s fee | OB SONOGRAM, LMT | fee schedule | Inpatient or outpatient | — |
| WELLPOINT WASHINGTON, INC. - Medicare-HMO | Medicare Advantage | $128 | Hospital’s fee | OB US LIMITED FETUS(S) | fee schedule | Inpatient or outpatient | — |
| WELLPOINT WASHINGTON, INC. - Medicare-HMO | Medicare Advantage | $128 | Hospital’s fee | BEDSIDE ULTRA SOUND | fee schedule | Inpatient or outpatient | — |
Medicaid managed care 6 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| MOLINA HEALTHCARE OF WASHINGTON - Medicaid | Medicaid Managed Care | $191 | Hospital’s fee | OB SONOGRAM, LMT | fee schedule | Inpatient or outpatient | — |
| MOLINA HEALTHCARE OF WASHINGTON - Medicaid | Medicaid Managed Care | $191 | Hospital’s fee | BEDSIDE ULTRA SOUND | fee schedule | Inpatient or outpatient | — |
| MOLINA HEALTHCARE OF WASHINGTON - Medicaid | Medicaid Managed Care | $191 | Hospital’s fee | OB US LIMITED FETUS(S) | fee schedule | Inpatient or outpatient | — |
| MOLINA HEALTHCARE OF WASHINGTON - Medicaid | Medicaid Managed Care | $205 | Hospital’s fee | OB SONOGRAM, LMT | fee schedule | Inpatient or outpatient | — |
| MOLINA HEALTHCARE OF WASHINGTON - Medicaid | Medicaid Managed Care | $205 | Hospital’s fee | BEDSIDE ULTRA SOUND | fee schedule | Inpatient or outpatient | — |
| MOLINA HEALTHCARE OF WASHINGTON - Medicaid | Medicaid Managed Care | $205 | Hospital’s fee | OB US LIMITED FETUS(S) | fee schedule | Inpatient or outpatient | — |
Doctors here who do this procedure
We don’t have doctor data for this procedure yet. CMS publishes what doctors bill Traditional Medicare by billing code, and no Washington doctor billed this one often enough for CMS to publish it (11 or more patients a year).
See a price that looks wrong? Tell us about it.